Active NPI
San Juan County
- Land Ambulance
- Monticello, UT
National Provider Identifier
1902952062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1904L
- Legal business name
- SAN JUAN COUNTY
- Practice address
- 117 South Main
Monticello, UT 84535 - Phone
- (435) 587-3225
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Larson
- Title
- EMS Coordinator
- Phone
- (435) 587-3225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1904L | UT | Primary |
Addresses
Primary practice location
117 South Main
Monticello, UT 84535
Mailing address
80 North 300 West
PO Box 126
Tropic, UT 84776-0126
Phone (435) 679-8710
Other names 1
- SAN JUAN COUNTY EMERGENCY SERVICES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100714000789 | UT | Part B Supplier - Ambulance Service Supplier | 1557493384 | Practice locations: Monticello, UT |
National Provider Directory
National Provider Directory- Tax ID family
- San Juan County Emergen
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Monticello, UT
- NPI 1295832517
-
- Public Health or Welfare Agency
- Monticello, UT
- NPI 1538559174
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278892800000",
"number": "1902952062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 NORTH 300 WEST",
"address_2": "PO BOX 126",
"city": "TROPIC",
"state": "UT",
"postal_code": "847760126",
"telephone_number": "435-679-8710",
"fax_number": "435-679-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 SOUTH MAIN",
"city": "MONTICELLO",
"state": "UT",
"postal_code": "84535",
"telephone_number": "435-587-3225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JUAN COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2010-07-12",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "435-587-3225",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "UT",
"license": "1904L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAN JUAN COUNTY EMERGENCY SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monticello, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.